Polk, Caryl Ann

Polk, Caryl Ann is an individual health care provider with primary practice located at 200 E Hacienda Ave , Campbell CA 95008-6617. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Polk, Caryl Ann can be contacted via phone (408) 871-5813.

Contact Information

Primary practice address
200 E Hacienda Ave Campbell CA 95008-6617
Phone: (408) 871-5813
Fax: (408) 871-5825
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS15456 California

Profile Details

NPI number 1417019209
LBN Legal business name Polk, Caryl Ann
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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